WAYNE ANTENEN - Pharmacist License in Illinois | # 049057312

WAYNE ANTENEN

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057312

License Status

CANCELLED

Business

N

First Name

WAYNE

Last Name

ANTENEN

Business Name

WAYNE ANTENEN

Original Issue Date

02/02/1972

Effective Date

02/02/1972

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005